线粒体12SrRNAA1555G突变耳聋家系的异质率研究

Heteroplasmy Levels of Mitochondrial 12S rRNA A1555G Mutation in Pedigrees with Aminoglycoside-Induced and Non-Syndromic Hearing Loss as Detected Using SNaPshot Technique

目的利用SNaPshot技术检测线粒体12S rRNA A1555G异质性突变耳聋家系(K-11)母系成员的突变异质率,探讨家系中异质率的分布状况和遗传规律。方法通过家系调查,对线粒体12S rRNA A1555G异质性突变耳聋家系母系成员进行全身系统检查及临床听力学检测;提取基因组和线粒体DNA,针对12S rRNA A1555G突变,设计SnaPshot引物和探针,并对K-11家系母系成员进行异质率检测,分析K-11家系母系成员突变异质率的分布特点和遗传规律。结果 K-11家系共四代,耳聋是此家系的唯一临床表型,家系母系耳聋成员的听力下降时间、程度和听力曲线类型具有明显的个体差异;家系中每位家系母系成员的12S rRNA A1555G突变异质率均不同,最低为82.32%,最高为94.65%,整体平均异质率为87.99%,个体间异质率传递无明显规律可遵循;按照家系每代间分析,第II-IV间平均异质率分别为88.27%、86.78%和90.31%,每代间平均异质率逐渐增加。结论 K-11家系内部个体间异质率传递具有一定的随机性,每代间的平均异质率呈现逐渐增加的趋势。

Objective To study heteroplasmy levels and inheritance patterns of the mitochondrial 12S rRNA A1555G mutation in a K-11 pedigree with aminoglycoside-induced and non-syndromic hearing loss using the SNaPshot technique. Methods Comprehensive history and physical examination were obtained, including history of aminoglycoside use and genetic factors related to the hearing impairment among the pedigree members. Age-appropriate audiological tests were performed and the PTA calculated. Genomic DNA was isolated from whole blood and the level of heteroplasmy in peripheral blood leuko- cytes was determined using SNaPshot technology. Results There were four generations in this K-11 pedigree. Deafness was the only clinical phenotype. The onset age and extent of hearing loss were different among maternal members. The average het- eroplasmy rate of this K-11 pedigree was 87.99% （ranging from 82.32% to 94.65%）, and the average heteroplasmy rates of generations II to IV were 88.27%, 86.78%, and 90.31%, respectively. Conclusion There are random shifts in the heteroplasmy level between mothers and offspring with the A1555G mutation in K-11 pedigrees. However, there seems a trend of gradual increase over generations.